Pending approval from the Research Operations Sub-Committee, NCS Members are allowed the opportunity to post surveys for voluntary participation from the NCS Membership. Surveys are reviewed by the Committee on a monthly basis. Please check below for more details.
ACTIVE SURVEYS
NCS Advanced Practice Provider (APP) Orientation Survey
The APP Leadership Committee section of the Neurocritical Care Society (NCS), as the representative group for neurocritical care trainees of all disciplines, seeks to facilitate the attainment of neurocritical care (NCC) expertise for all trainees. Many Advanced Practice Providers (Nurse Practitioner, Certified Nurse Specialist or Physician Assistant) currently lack formal opportunities to learn the practice of NCC, frequently attaining their skills through mentorship relationships, on-the-job training or informal resources. To begin our endeavor, we propose a survey of the APP section for post-graduate onboarding/orientation resources to 1) assess current practices and 2) guide development of future resources.
The need for a survey of APP orientation experiences and the identification of successful programs is evidenced by the utilization of the NCS APP Orientation package, discussion forum posts and the APP specific recommendations for neurocritical care units. As we understand more about onboarding APPs to neurocritical care, this project is consistent with the mission of NCS to drive the best possible patient outcomes through our collective efforts for excellence. NCS should be the main source of education and support for APPs practicing in neurocritical care therefore their needs should be adequately addressed.
Target Audience: APPs, Rising Leaders, and Trainee Sections
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Neuromonitoring Practices for Patients on ECMO Survey
Patients on ECMO are at high risk of neurologic adverse events. These events occur in up to 50% of patients and include intracerebral hemorrhage (ICH), acute ischemic stroke, seizures, diffuse cerebral edema, hypoxic brain injury, global and focal perfusion deficits or hyper perfusion injury and brain death [Bowling 2016, Nasr 2015, Lidegran 2007, Mateen 2011, Aboul Nour 2020, Lorusso 2016, Xie 2017, Risnes 2006]. The incidence of intracranial injury has ranged between 10.9 to 50%, with the incidence of ICH ranging between 3.6-15%, stroke between 4.1-9%; brain edema in 13%; seizures up to 4.1% [Nasr 2015, Lidegran 2007] and up to 18% in one study of pediatric population of which 83% were purely electrographic [Lin 2018]. Additionally, ischemic infarctions increase the risk of seizures in ECMO patients [LaRovere 2017]. It has also been shown that patients on ECMO are at risk of developing cerebral microbleeds predominantly in the subcortical white matter [Guennec 2015]. Other neurological complications during VA-ECMO with intra-aortic balloon pump included spinal cord infarctions [Samadi 2016]. The Extracorporeal Life Support Organization (ELSO) registry shows neurological complication in 15.1% of 4522 patients on VAECMO . Brain death was recorded at 7.9%; ischemic strokes at 3.6%; and equal incidence of seizures and ICH at 1.8%. More than one complication in the same patient occurred in 1.5%, with a catastrophic rate of in hospital mortality reaching 100% in patients with 3 or more neurological insults. [Lorusso 2016].
Given the high incidence of neurologic sequelae during ECMO support, neurological examination, neuroimaging including contrast and non-contrast based, as well as ancillary testing such as electroencephalography (EEG) becomes invaluable in detecting and predicting neurological injury. However, there is paucity of literature available on the current practices of neuromonitoring in ECMO patients across the nation.
Target Audience: APPs, MDs, U.S. members only
Duration: 10 minutes
Contact: Bradley Howell
Survey closes: August 30, 2022
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Vasospasm Management in SAH
One of the primary causes of morbidity and mortality in subarachnoid hemorrhage patients is vasospasm and delayed cerebral ischemia. Nimodipine has been a long standing treatment to help improve outcomes. Overtime the diagnosis and treatment options have varied as new radiographic and eeg technologies emerge. This survey is to assess what the current practice is for diagnosing and treating either vasospasm or delayed cerebral ischemia in this patient population.
Target Audience: MDs
Duration: 5 minutes
Contact: Justin Daniels
Survey closes: September 30, 2022
NCS Educational Product Needs Assessment Survey
This short survey is intended to provide NCS feedback on the development of a quality improvement educational product. Endorsed by the NCS' quality committee, this short survey examines the current landscape of NCC QI and requests input from multidisciplinary neurocritical care professionals on a product that would be neurocritical care centric, endorsed by NCS and industry-leading in specific curriculum related to neurocritical care. The results of the survey will inform creation of this educational product.
Target Audience: All Members
Duration: 5 minutes
Contact: Abhijit Lele
Survey closes: October 31, 2022
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Students in Neurocritical Care Survey
The NCS Training Committee has identified medical students and other short-term NICU rotators, such as APP students, pharmacy residents, and potentially residents from non-neurosciences disciplines, as a group for which no specific NCS educational resources exist. We are interested in determining if there is a need for this sort of product in the neurocritical care community, and if so, what would be of the most use to NCS members. This survey is intended to answer those questions, which will better enable our group to prepare a proposal for the Educational Products Committee.
Target Audience: All Members
Cerebral Edema Survey
Cerebral edema is a common and potentially life-threatening complication of acute brain injuries seen in intensive care settings. Its mechanism varies in response to the initial injury, but results in part due paravascular interchange between cerebrospinal fluid and interstitial fluid, transcapillary flux, cellular swelling, and blood brain barrier breakdown. However, despite several studies that attempt to identify outcome-improving strategies and treatments, there remains uncertainty regarding optimal monitoring and management, resulting in wide variations in practice. In 2011, Hays et al conducted a study surveying participant’s use of osmotic therapies in adult patients with cerebral edema. We seek to update and expand on this work by reporting practice patterns in cerebral edema monitoring and management. Understanding the extent and reasons for practice variation are important to inform guidelines, policies, education, and future studies.
Target Audience: All Members
Duration: 3 minutes
Contact: Charlene Ong
Survey closes: November 1, 2022
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The Neurocritical Care Society Research Gap Survey
One of the strategic goals of the NCS is to lead high impact research that improves patient outcomes by providing the infrastructure and support to drive the science in Neurocritical Care. The objective of this 'all member' survey is to better understand the current state of research and existing research gaps within the NCS community that can help inform and guide the development of research infrastructure and scientific network needed to advance neurocritical care research.
This survey is and initiative of the NCS Research Operations Subcommittee (ROSC) in collaboration with NCS Neurocritical Care Research Central (NCRC) to understand the existing research gaps among the NCS members. The current gaps include: 1) It is unclear what percentage of total NCS members are actively engaged in research 2) It is unclear what percentage of NCS members from various professional backgrounds are actively engaged in research 3) It is unclear what types of research and in what particular research area our NCS members are primarily focused on. 4) It is unclear what percentage of NCS members have active and ongoing research support 5) It is unclear what percentage of NCS members are actively looking for research collaboration and or mentorship 6) It is unclear what are the biggest research barriers faced by our members.
Target Audience: All Members
PAST APPROVED SURVEYS
Name of Survey
Survey Opened
Contact Name
Utilization and Impact on Fellowship Training of Non-Physician Advanced Practice Providers in Neuro-Intensive Care Units of Academic Medical Centers: A Survey of Neurocritical Care Program Directors and Trainees
July 7, 2021
Marc Alain Babi
Systems-Based Hospital Practices of Acute TBI
April 7, 2021
Roy Poblete
Early Post-traumatic Seizure Prophylaxis: A Worldwide Survey on Current Practice
April 7, 2021
Gretchen Brophy
Point-of-Care Ultrasound (POCUS)/Critical Care Ultrasound (CCU)
April 7, 2021
Judy Ch'ang
NCS' Assessment of the Advance Practice Provider (APP) Response to COVID-19
September 11, 2020
Lindsay Marchetti
COVID-19 and Telehealth in the Intensive Care Unit Setting
September 11, 2020
Sarah Nelson
Acute Stroke Management of Tandem Occlusions during Mechanical Thrombectomy (MT) Survey
August 23, 2020
Santiago Ortega-Gutierrez
Perceptions of Health Care Providers Worldwide Regarding COVID-19 Pandemic & Its Impact on Patient Care, Resources, and Clinical Education
April 28, 2020
Sarah Wahlster
Practice Changes for Acute Ischemic Stroke During COVID-19
April 16, 2020
Tamara Strohm
Moyamoya Disease Survey of International Perioperative Practices
March 13th, 2020
Carolina B Maciel
Hypotension in the ICU
January 16, 2020
Ward van der Ven
Career Satisfaction
October 7, 2019
Shyam Rao
Sedation Management in Patients with Severe Traumatic Brain Injury Survey
August 13, 2019
Victoria Mcredie
Drug Shortages
July 18, 2019
Emily Durr
Laboratory Values that Preclude Brain Death Diagnosis
July 9, 2019
David Lerner
Determination of the Inter Rater Reliability of the modified Fisher Scale
July 2, 2019
Christopher Melinosky
Pharmacogenomics of Calcium Channel Blocker Medication in Stroke and Subarachnoid Hemorrhage
May 16, 2019
David Freeman
SURVEY SUBMISSION REQUIREMENTS
Pending approval from the Research Operations Sub-Committee, NCS Members are allowed the opportunity to post surveys for free-will participation from the NCS Membership. NOTE: Surveys are reviewed by the Committee on a monthly basis. Following submission of the form you will receive a follow up email from NCS staff regarding whether your survey has been approved. NOTE: Survey submissions are usually reviewed and approved on a monthly basis. Please provide ample time for review before following up.
If you would like to be considered to have your survey to be posted, please review the following requirements:
1. Review the NCS Policy and Procedures for research survey requests.
2. Complete the required Submission Form below.
3. If accepted, complete a Feedback Survey after the survey has closed.